Consultation Request Form

To request your Arizona DUI case evaluation, please fill out the form below or call us at 480.951.3200 during office hours.

List only numbers where our law office may contact you.  Press "Send" only when you finish filling out the form.  All information will be held in strict confidence.  If you are not sure whether you should submit via this form, please see our guidelines below. All submissions are subject to the disclaimer.


Fields with a * are required.

Name:
Phone:
Email
Date of Arrest:
City Arrested In:
Police Agency Making Arrest:
(i.e., Scottsdale PD, DPS, Phoenix PD, Gilbert PD, etc.)
Next Court Date:
Court Name:
(i.e., Phoenix Municipal, Superior, Tempe Municipal, etc.)
Do you currently have an attorney?
Please list your goals regarding your DUI charge and your license:
Please list any specific questions and concerns:
 

We reserve the right to refuse a case evaluation to anybody for any reason, and filling out this form does not entitle anybody to legal advice or services. The initial case evaluation is designed to give potential clients a chance to meet us, for us to meet them, for us to discuss how we can help, and to explain our rates.